Abstract
Ovarian torsion in children is a rare cause of acute abdominal pain and is a true surgical emergency. The clinical presentation closely resembles other pathologies such as urinary tract infections, gastroenteritis and more common surgical emergencies such as appendicitis. We present a case of previously healthy 6 year old female child who presented with abdominal pain, intermittent fever and vomiting. Ultrasonography of the abdomen and pelvis revealed features suggestive of ovarian torsion for which Subacute Laparoscopic Oophorectomy was performed. The authors would like to sensitize readers to the possibility of ovarian torsion in the paediatric populace and reiterate that timely diagnosis and management can prevent catastrophic sequelae.
Highlights
Ovarian torsion has been postulated to be an unusual cause of acute abdominal pain in children
Knowledge of the fact that ovarian torsion in the pediatric population is a possibility as well as its presentation can go a long way in preventing catastrophic sequelae
Obstruction of venous outflow, infarction and necrosis, peritonitis and loss of adnexa results from rotation of the ovary along its vasculature, during normal mobility of the fallopian tube. This is dangerous in young children due to the propensity for non-recognition, courtesy the rarity and the non-specificity of presentation [1] that can mimic conditions such as appendicitis, urinary tract infection, renal colic and gastroenteritis [3]
Summary
Ovarian torsion has been postulated to be an unusual cause of acute abdominal pain in children. A previously healthy 6 year old girl presented to the Paediatric Emergency Department with 4 day history of diffuse lower quadrant pain, intermittent fever, and 3-4 episodes of vomiting. She was evaluated by a clinician a day before and was diagnosed with acute gastroenteritis after physical examination and negative. Manuscript received: 14th August 2016 Reviewed: 26th August 2016 Author Corrected; 10th September 2016 Accepted for Publication: 23rd September 2016 urinalysis Her symptoms persisted and in view of severe abdominal pain, she was admitted for further evaluation. Follow-up ultrasound performed one month later was found to be normal
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